مرکز منطقه ای اطلاع رساني علوم و فناوري - Outcome of intracranial aneurysm surgery: single center experience

Abstract :

Purpose: Intracranial aneurysms are the most common reason of the subarachnoid hemorrhages and cause significant rate of morbidity and mortality. In this article, we aimed to share the results of our intracranial aneurysm surgery. Material and Methods: The results have been obtained by scanning the data of the patients who operated or treated by the reason of SAH and intracranial aneurysm, in our hospital between the years 2003 and 2015. Results: The 344 subarachnoid hemorrhage cases admitted to Sanko University Konukoglu Hospital and 313 intracranial aneurysms were identified on 270 (78.5%) cases and 311 aneurysms were surgically clipped. There were single aneurysm on 232 (85.9%) and multiple aneurysms on 38 (14.1%) cases. Clinically vasospasm occurred in 19.6% of cases. There was a strong correlation between Hunt and Hess grade on admission and vasospasm development. The mortality of single and multiple aneurysm were 12.5% and 26.5% respectively. The overall mortality and morbidity rates were 14.4% and 21.5% respectively . Conclusion: Multiple aneurysms, poor grade and intracerebral hematomas are poor prognostic factors. The patients who have subarachnoid hemorrhage should be monitored by an experienced team of neurosurgery and intensive care and should be operated on as soon as possible because of rehemorrhage risk. The surgical clipping as a gold standard is still an affective and successful method.